City of Winnipeg

CITY OF WINNIPEG DIRECT DEPOSIT REQUEST FORM

Choose Option A or B and fill in the form completely. (See other side for instructions)

c OPTION A Deposit total net amount into Account #1 (Balance Account)

c OPTION B Two deposits:

i) Partial Deposit of $______into Account #2 (Partial Deposit Account)

ii) Remaining Balance into Account #1 (Balance Account)

ACCOUNT #1 (Balance Account)

Please attach a void cheque and complete the following information:
Branch Number: Institution Number:
Must be 5 digits Must be 3 digits
Account Number:
Financial Institution: (To be completed by Financial Institution if a void cheque not attached)
Name: Phone:
Name of Financial Institution
Address:

ACCOUNT #2 (Partial Deposit Account: $ ______)

AUTHORIZATION – ALL INFORMATION BELOW IS REQUIRED AND MUST BE PROVIDED BEFORE THIS FORM WILL BE PROCESSED BY CORPORATE PAYROLL

Employee Name:
Please Print / Home Phone#:
Employee Signature: / Work Phone#:
Employee ID#: / Date:

INSTRUCTIONS TO COMPLETE A DIRECT DEPOSIT FORM

HOW IT WORKS
§ Two Direct deposits options are now being offered by The City of Winnipeg, Payroll Branch. Employees can choose to have their net pay deposited into one account or split their net pay by depositing a specific amount into one account and depositing the remaining balance into a second account, at any two banks, trust companies, credit unions, or other financial institutions in Canada
§ You will continue to receive a statement detailing your earnings and deductions each pay period
§ If you decide to deposit your entire net pay into one account, please complete Option A on the Direct Deposit Request Form
§ If you decide to split your net pay, please complete Option B. The specific amount you indicate will be deposited into Account #2. The remaining balance will be deposited into Account #1
CONDITIONS
§ The account you identified MUST BE ACTIVE and hold Canadian funds at a financial institution in Canada
§ WHEN CHANGING OR CLOSING ACCOUNTS, YOU MUST SEND A NEW DIRECT DEPOSIT FORM TO PAYROLL IMMEDIATELY
DIRECT DEPOSIT ROUTING NUMBER (SEE EXAMPLE BELOW)
Enter the branch number, institution number, and account number for depositing your payroll funds. ATTACH to this form a VOIDED PERSONALIZED CHEQUE showing the same information OR if this is not possible have this information confirmed by your financial institution
You can find the required information on the bottom left corner of your personalized cheque as shown below
EXAMPLE ;798 ;00026 ;002 ;12345 ;67
Chq # Branch # Inst. # Account Number
Branch Number: 0 0 0 2 6 ( must be 5 digits ) Institution Number: 0 0 2 ( Must be 3 digits )
Account Number: 1 2 3 4 5 6 7 ( up to a maximum of 12 digits )
ADVANTAGES OF DIRECT DEPOSIT
For you the system is safe, convenient, and time saving:
§ We assure complete confidentiality
§ No one but you (and your financial institution) will ever know your bank balance, and no one can make a withdrawal from your account except you
§ There’s no more worry about lost or stolen cheques
§ In the event of illness, if you are on vacation, traveling on business, or off shift, you can relax knowing that your payroll funds are being deposited safely
§ You start earning interest on your money right away
§ Your money will be deposited to your account at the beginning of the banking day on each payday